New Patient Information
To make your office visit with Piedmont Urgent Care Center at Baxter Village go more smoothly, you may access new patient forms in advance. Please select and print the attached forms, fill them out completely and bring them with you to your appointment.
If you have questions, call us at 803-396-8100.
| File | File size |
|---|---|
 New Patient Registration Form | 1518 Kb |
| Patient Medical History | 312 Kb |
| Triage Form | 336 Kb |
| Medical Records Release Form | 367 Kb |
Billing & Insurance
Piedmont Urgent Care Center at Baxter Village accepts many health plans and offers several payment options. If you have any questions or concerns about health plans or payments, please call 803-396-8100. We're here to help and will be happy to talk with you.
We participate in Medicare and Medicaid.
Payment Options:
- Check
- Visa/Mastercard/Discover/American Express
Health Insurance Plans Accepted:
- Aetna
- Blue Cross Blue Shield South Carolina
- Blue Cross Blue Shield State Health Plan
- Blue Choice Health Plan of South Carolina
- Cigna
- Greatwest
- Humana Choice Care, including Medicare Advantage
- Medcost
- South Carolina Medicaid
- Medicare
- Medicare fee for service plans
- Medicare Railroad
- Multiplan/PHCS
- Primary Physician Care
- United Healthcare
- Tricare Standard
- Wellpath/Coventry, including First Health, Mailhandlers
200 S. Herlong Ave., Suite E-1
Rock Hill, SC 29732